AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (18)

•Diagnostic Errors (17)

•Identification Errors (13)

•Discontinuities, Gaps, and Hand-Off Problems (53)

•Fatigue and Sleep Deprivation (8)

•Medication Safety (126)

•Medical Complications (34)

•Nonsurgical Procedural Complications (10)

•Surgical Complications (63)

•Transfusion Complications (6)

•Psychological and Social Complications (14)

Origin/Sponsor
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United Kingdom

Resource Types

•Audiovisual (2)

•Book/Report (41)

•Journal Article (398)

•Legislation/Regulation (4)

•Newspaper/Magazine Article (13)

•Special or Theme Issue (11)

•Tools/Toolkit (3)

•Web Resource (8)

Error Types

•Epidemiology of Errors and Adverse Events (147)

•Active Errors (61)

•Latent Errors (26)

•Near Miss (9)

Approach to Improving Safety

•Quality Improvement Strategies (122)

•Legal and Policy Approaches (30)

•Error Reporting and Analysis (189)

•Communication Improvement (101)

•Human Factors Engineering (71)

•Teamwork (50)

•Specialization of Care (18)

•Logistical Approaches (18)

•Culture of Safety (73)

•Technologic Approaches (53)

•Education and Training (93)

Clinical Areas

•Allied Health Services (2)

•Complementary and Alternative Medicine (1)

Target Audience

•Health Care Providers (298)

•Health Care Executives and Administrators (421)

•Non-Health Care Professionals (201)

•Patients (23)

Setting of Care

•Hospitals (310)

•Psychiatric Facilities (5)

•Residential Facilities (5)

•Ambulatory Care (44)

•Outpatient Surgery (2)

•Patient Transport (5)

1 - 20 of 480

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STUDY

Patient safety indicators for England from hospital administrative data: case-control analysis and comparison with US data.

Raleigh VS, Cooper J, Bremner SA, Scobie S. BMJ. 2008;337:a1702.

STUDY

Falls in English and Welsh hospitals: a national observational study based on retrospective analysis of 12 months of patient safety incident reports.

Healey F, Scobie S, Oliver D, Pryce A, Thomson R, Glampson B. Qual Saf Health Care. 2008;17:424-430.

BOOK/REPORT

National Diabetes Inpatient Audit 2011.

Leeds, UK: Health and Social Care Information Centre; 2012.

STUDY

Challenges and opportunities to prevent transfusion errors: a Qualitative Evaluation for Safer Transfusion (QUEST).

Heddle NM, Fung M, Hervig T, et al; BEST Collaborative. Transfusion. 2012;52:1687-1695.

STUDY

Dying for the weekend: a retrospective cohort study on the association between day of hospital presentation and the quality and safety of stroke care.

Palmer WL, Bottle A, Davie C, Vincent CA, Aylin P. Arch Neurol. 2012;69:1296-1302.

STUDY

Multiple component patient safety intervention in English hospitals: controlled evaluation of second phase.

Benning A, Dixon-Woods M, Nwulu U, et al. BMJ. 2011;342:d199.

STUDY

Managing the after effects of serious patient safety incidents in the NHS: an online survey study.

Pinto A, Faiz O, Vincent C. BMJ Qual Saf. 2012;21:1001-1008.

STUDY

Large scale organisational intervention to improve patient safety in four UK hospitals: mixed method evaluation.

Benning A, Ghaleb M, Suokas A, et al. BMJ. 2011;342:d195.

STUDY

Review of patient safety incidents reported from critical care units in North-West England in 2009 and 2010.

Thomas AN, Taylor RJ. Anaesthesia. 2012;67:706-713.

STUDY

Retrospective analysis of medication incidents reported using an on-line reporting system.

Ashcroft DM, Cooke J. Pharm World Sci. 2006;28:359-65.

REVIEW

Development of an evidence-based framework of factors contributing to patient safety incidents in hospital settings: a systematic review.

Lawton R, McEachan RRC, Giles SJ, Sirriyeh R, Watt IS, Wright J. BMJ Qual Saf. 2012;21:369-380.

STUDY

Can an electronic prescribing system detect doctors who are more likely to make a serious prescribing error?

Coleman JJ, Hemming K, Nightingale PG, et al. J R Soc Med. 2011;104:208-218.

STUDY

Preventable deaths due to problems in care in English acute hospitals: a retrospective case record review study.

Hogan H, Healey F, Neale G, Thomson R, Vincent C, Black N. BMJ Qual Saf. 2012;21:737-745.

STUDY

How dangerous is a day in hospital?: A model of adverse events and length of stay for medical inpatients.

Hauck K, Zhao X. Med Care. 2011;49:1068-1075.

STUDY

An observational study of the frequency, severity, and etiology of failures in postoperative care after major elective general surgery.

Symons NR, Almoudaris AM, Nagpal K, Vincent CA, Moorthy K. Ann Surg. 2013;257:1-5.

REVIEW

Methodological variations and their effects on reported medication administration error rates.

McLeod MC, Barber N, Franklin BD. BMJ Qual Saf. 2013;22:278-289.

STUDY

Junior doctors' reflections on patient safety.

Ahmed M, Arora S, Carley S, Sevdalis N, Neale G. Postgrad Med J. 2012;88:125-129.

STUDY

Evaluation of a predevelopment service delivery intervention: an application to improve clinical handovers.

Yao GL, Novielli N, Manaseki-Holland S, et al; European HANDOVER Research Collaborative. BMJ Qual Saf. 2012;21(suppl 1):i29-i38.

REVIEW

Prescribing errors in hospital practice.

Tully MP. Br J Clin Pharmacol. 2012;74:668-675.

BOOK/REPORT

An In Depth Investigation into Causes of Prescribing Errors by Foundation Trainees in Relation to Their Medical Education—EQUIP Study.

Dornan T, Ashcroft D, Heathfield H, et al. London: General Medical Council; 2009.

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